Shore Outpatient Surgicenter LLC
NPI 1366449571 · Ambulatory Surgical Clinic/Center · Lakewood, NJ
Provider details
- NPI number
- 1366449571
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Bailey, Authorized Official(203) 609-1168
- License
- 22372 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
5,843 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 907 | $364 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 817 | $475 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 712 | $617 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 537 | $208 |
| Insertion of Tube Into Ureter Using an Endoscope Through Bladder Area52005 | 304 | $860 |
| Biopsy of Prostate Gland55700 | 272 | $960 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.